- Citigroup (Jacksonville, FL)
- The Fraud Ops Sr Analyst is a senior level positions responsible for contributing to the development of fraud management policies, processes and procedures to ... models + Proven experience in the Investigation and Fraud claims process + Experience in trend analysis and alerts...team within the Commercial Cards group. + Bankcard fraud management or fraud investigations experience + Ability to work… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary:** The HEDIS Network Analyst will support CCA's ability to meet and surpass critical Quality ... relevant Network Providers, including those with delegated arrangements + Review YTD claims files on a monthly/quarterly basis to identify errors and address… more
- Lineage Logistics (Novi, MI)
- …team. **Job Description:** Lineage is currently searching for a **Procurement** ** Analyst ** to join our growing team. Ideal candidates possess experience and/or ... education in business, supply chain management , finance or economics combined with strong technical skills,...contractual obligations are met, supplier concerns are addressed, and claims against suppliers are resolved. + Review purchase orders… more
- Warner Music Group (New York, NY)
- …including, without limitation, tracking audit notifications, reviewing and analyzing the claims contained in the audit reports we receive, making recommendations to ... internal label clients regarding how to respond to those claims , facilitating settlement negotiations between the party auditing and...you may be asked to perform by the senior management of the Group and the division. **About you:**… more
- AmeriHealth Caritas (Charleston, SC)
- …set up. + Ensure that provider payment issues submitted by Provider Network Management or any other source are validated, researched and resolved within established ... + Requests/runs queries to identify root causes of claim denials, incorrect payments and claims that are not correctly submitted for payment. + Act as the resource… more
- CVS Health (Topeka, KS)
- …And we do it all with heart, each and every day. **Overview** The Senior Analyst supports Product Analytics by making data accessible and actionable for the care ... management suite of products. This role is responsible for...in business analytics. + Familiarity with medical and pharmacy claims datasets and healthcare analytics. + Excellent verbal and… more
- Banco Popular Puerto Rico (San Juan, PR)
- …Dec 9, 2025 Location: San Juan, PR Company: Popular Workplace Type: Hybrid Business Analyst Full Time Job Opportunity Location Hybrid / Cupey Center / Puerto Rico ... produce scorecards and incentives reports, send incentive payments, works with claims submitted and document exceptions. Coordinate and facilitate working sessions… more
- World Insurance Associates, LLC. (Miami, FL)
- …and bonding, employee benefits, financial and retirement services, and human capital management solutions. At World Insurance, you'll be part of a collaborative team ... Overview World Insurance is seeking an experienced Employee Benefits Underwriting & Financial Analyst to join our Underwriting & Analytics team. In this role, you… more
- Ryder System (Hagerstown, MD)
- …._ **Job Description** : **Summary** The Senior Quality Analyst will conduct quality analysis, problem solve, and recommend ... performed quality audits, review root cause analysis of damage claims , and participate with the potential to lead continuous...+ Map and document processes + Participate in Quality Management Review + Perform Account Quality Audits + Provide… more
- CareFirst (Reston, VA)
- **Resp & Qualifications** **PURPOSE:** The Senior Business Analyst will have the responsibility to ensure that the business's need for changes to processes, policies ... of project plans to define, organize and schedule requirements management and development activities. Facilitates requirements analysis and verification sessions.… more